Organization Active NPI

Plastic Surgery Center

  • Surgery of the Hand (Plastic Surgery) Physician
  • Lakewood, CO
National Provider Identifier
1134668643
Registry record updated Feb 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Plastic Surgery) PhysicianTaxonomy code 2082S0105X
License
0022517 Issued in CO
Legal business name
PLASTIC SURGERY CENTER
Practice address
8805 W 14TH Ave
Suite 316
Lakewood, CO 80215-4848
Phone
(303) 232-0310
Fax
(303) 232-0312
NPI assigned
Feb 16, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Norman Philip Payea II, M.D.NPI 1740494467
Title
Owner
Phone
(303) 232-0310

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208200000X 0022517 CO
Surgery of the Hand (Plastic Surgery) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2082S0105X 0022517 CO Primary

Addresses

Primary practice location

8805 W 14TH Ave
Suite 316
Lakewood, CO 80215-4848

Mailing address

8805 W 14TH Ave
Suite 316
Lakewood, CO 80215-4848
Phone (303) 232-0310

Other identifiers 1

IdentifierTypeStateIssuer
01225176MedicaidCO

National Provider Directory

National Provider Directory

Locations

8805 W 14th Ave
Ste 316
Lakewood, CO 80215
Phone (303) 232-0310

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1487203200000",
    "number": "1134668643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8805 W 14TH AVE",
            "address_2": "SUITE 316",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154848",
            "telephone_number": "303-232-0310",
            "fax_number": "303-232-0312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8805 W 14TH AVE",
            "address_2": "SUITE 316",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "802154848",
            "telephone_number": "303-232-0310",
            "fax_number": "303-232-0312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLASTIC SURGERY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A",
        "authorized_official_last_name": "PAYEA",
        "authorized_official_first_name": "NORMAN",
        "authorized_official_middle_name": "PHILIP",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-232-0310",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "0022517",
            "primary": false
        },
        {
            "code": "2082S0105X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery, Surgery of the Hand",
            "state": "CO",
            "license": "0022517",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01225176",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.